{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RODNEY   V RITENOUR","gend":0,"add":"8128 DEERFIELDN ROAD","city":"NORFOLK","state":"VA","zip":"23518-9998","dob":"1966-08-15","age":"","mstatus":"","insh":"2169273*01","cliId":"","pno":"757\/235-0620","cno":"757\/235-0620","email":"","ename":"","eno":"","pphy":"GATA JR, RENATO G MD","ppno":"757\/395-1900","pcpadd":"5460 WESLEYAN DR","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23455,"pcpcounty":"","pcpid":"","pcpname":"SMG - Sentara Family Medicine Physicians - Wesleyan","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/995-7373","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J44.9","M54.5","M79.643","M79.604","G89.29","M79.605","F11.20","M79.89","M79.642","Z98.890","Z82.3","Z00.00","Z13.29","Z12.5","Z11.59","Z11.4","J43.2","Z12.11","M72.2","Z13.228","Z13.0","L03.90","J43.9","F11.988","F41.9","F33.1","M54.16","R15.9","F17.210","Z83.3","Z86.73","Z88.8","Z88.5","M54.9","M54.12","M47.22","M48.02","M54.2","Z98.1","M54.41","Z87.39","NO DATA","Z72.0","Z51.81","Z79.891","F17.200","V58.89","M86.9","G56.03","M51.36","L08.9","R05.","M50.322","M50.323","K21.9","M25.551","M70.61","M25.552","M70.62","R05.9","Z79.899","Z77.090","Z01.818","M50.20","M25.559","M25.511","M25.512","Z88.6","R39.15","M47.812","M47.816","M79.609","L60.9","Z23.","M51.26","G89.4","M47.819","M79.601"],"date":["2022-10-18","2020-07-20","2020-07-20","2020-07-20","2021-08-16","2020-07-20","2022-10-25","2021-03-11","2021-04-07","2022-09-14","2022-09-25","2022-09-08","2022-09-08","2022-09-08","2022-09-08","2022-09-08","2022-10-18","2022-09-08","2022-09-08","2022-09-08","2022-09-08","2020-01-24","2020-03-26","2020-09-24","2020-09-24","2020-09-24","2022-02-09","2021-10-26","2022-10-18","2021-10-26","2021-10-26","2021-10-26","2021-10-26","2021-10-26","2022-08-26","2022-08-26","2022-09-14","2021-04-19","2021-04-19","2021-09-12","2021-09-12","2021-10-26","2021-10-26","2020-01-07","2020-01-07","2021-02-09","2020-02-08","2020-02-08","2020-03-26","2022-09-14","2021-03-11","2021-02-09","2021-01-05","2021-01-05","2021-02-09","2021-05-18","2021-05-18","2021-05-18","2021-05-18","2022-10-18","2020-02-20","2020-02-20","2020-12-22","2020-12-21","2021-04-22","2021-08-16","2021-08-16","2021-09-12","2021-09-12","2022-09-22","2020-01-20","2020-07-28","2020-12-22","2020-12-30","2021-01-05","2020-01-07","2022-09-14","2022-09-14"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","69097015907","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00378699252","ALBUTEROL","NEB 1.25MG\/3","75","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","90","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","65862001401","AMOXICILLIN","TAB 500MG","30","Select","Select",""],["","43598029590","PREGABALIN","CAP 150MG","60","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","43","Select","Select",""],["","00536589488","NICOTINE","DIS 7MG\/24HR","28","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","18","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","8","Select","Select",""],["","63824000832","MUCINEX","TAB 600MG ER","60","Select","Select",""],["","59651000305","OMEPRAZOLE","CAP 40MG","90","Select","Select",""],["","69842080601","CVS","TAB 600MG","60","Select","Select",""],["","53489011905","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","71610049953","MUCUS","TAB 600MG ER","60","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","18","Select","Select",""],["","49483060250","IBUPROFEN","TAB 400MG","30","Select","Select",""],["","69584061250","METHOCARBAM","TAB 750MG","60","Select","Select",""],["","00093342210","CYCLOBENZAPR","TAB 10MG","18","Select","Select",""],["","00378932132","WIXELA","AER 250\/50","60","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60","Select","Select",""],["","00093360982","FLUTIC\/SALME","INH 232\/14","1","Select","Select",""],["","00069047103","CHANTIX","PAK 0.5& 1MG","53","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","11","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}